Transcript
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A listener production. Welcome to another episode of Crappy or
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Happy Today. I would really like to get into the
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topic of burnout. We are heading into a new year.
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If you know yourself that you have pushed yourself to
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the extreme in the last few years, whether by choice
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or just because of the circumstances that you've found yourself
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in with everything that has been going on in life
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and in the world. What is it, what causes it,
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what are the contributing factors, how can you potentially prevent it,
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and one of the best ways to recover from it?
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I guess because when we talk about burnout, we are
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talking about more than just stress. You can have a
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stressful job, you can have a lot of things going
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on in your life. You can feel exhausted, you can
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feel overwhelmed and depleted. But when we talk about getting
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to the point of burnout, we're talking about complete and
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utter emotional and physical exhaustion. We're talking about psychological issues
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of being detached, depressed, and being quite negative and cynical
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towards people and towards the situation, perhaps your job, that
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you find yourself in. So let's discuss burnout and what
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it actually is, how it came about where it fits
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in terms of psychology, and then get into the nitty
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gritty of what it looks like and how it sort
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of comes about. The phenomenon of burnout was first mentioned
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back in the nineteen seventies by doctor Herbert Freudenberger, I
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think that's his name, and it refers to a specific
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syndrome of exhaustion related to prolonged situations of emotional imbalance
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with a burden of perceived stress exceeds your personal resources
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to cope with it. Now, it's always been referred to
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as a workplace issue, as a workplace phenomenon. In fact,
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it was added to the World Health Organization's ICD eleven,
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so that's the International Classification of Diseases, Big bat manual
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of all of the diseases that exist in the world.
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So the eleventh revision of that came out in twenty
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nineteen and burnout was included and defined as a syndrome,
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so a syndrome. Before this, it used to often be
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kind of conceptualized as a symptom, So it is now
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considered to be a very specific syndrome conceptualized as resulting
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from chronic workplace stress that has not been successfully managed
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and it is characterized by three dimensions. So these are
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the three kind of key characteristics of burnout. Feelings of energy, depletion,
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or exhaustion. So that is rock bottom, that is, got
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nothing left in the tank, completely utterly emotionally physically exhausted.
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This could be ending up in the hospital. This could
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be collapsing, being really physically unwell, increased mental distance from
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one's job, or feelings of negativism interesting word or cynicism
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related to one's job. So this is feeling really detached.
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If you consider that often the people who experience bernat
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are start off being very invested in their job, very engaged,
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working really hard, very conscientious a lot of the time,
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and really focused on work, getting the work done, doing
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a good job. They end up at this point of
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just being completely disconnected, emotionally, completely detached, a lot of
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very negative cynical emotions, not just towards the job, but
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often towards people as well around them, and reduced professional efficacy.
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So what that means is that they become very down
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on themselves, feeling incompetent, feeling like they can't do the job.
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Taking all of this stress and this inability to cope
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with these chronic, unrelenting demands and taking that to mean
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that there's something wrong with them that they can't do
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the job. So it can look a lot like depression,
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but it's not depression, as in it is a separate
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and distinct Even if depression is a part of it,
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and it's extreme, it's really extreme, and you don't just
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wake up one morning burnt out. There is a process, clearly,
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And so what I wanted to talk about today as
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we're heading into a new year and everybody's heading back
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to work and perhaps you have had a break. I
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hope you've had a nice break. I hope you're feeling
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well rested. And if you have come back with that
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sense of wanting to have more balance and wanting to
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set better boundaries and wanting to really look after yourself
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a little better than you perhaps have in the past,
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if you can look back and know that you have
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potentially really been at risk of burnout or you have
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been burnt out, then what are the signs to look for,
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How does this start to manifest and what can you
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do to intervene to best look after yourself so that
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that doesn't happen again. I also want to say that
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the World Health Organization has been very clear and specific
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that they consider this to be a workplace phenomenon. There's
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a lot of research coming out now, particularly in the
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last i would say five or so years, looking at
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maternal burnout, looking at parental burnout, caregiver burnout. I don't
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think it is reasonable to consider that this is just
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a workplace phenomenon. I think there are many situations in
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life that place so much pressure and stress, and it's
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not just we'll talk about this the difference between the
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stress or and the stress response, but the perceived stress
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and pressure that exceeds a capacity to cope. And I
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think maternal burnout is very real, and it's it's actually
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been shown to be a little different to for example,
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postpartum depression, postpartum anxiety. Parental burnout often lasts longer, It
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goes for many more years, and it has kind of
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different characteristics, and that might be worth a whole extra
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separate episode of the show. Today. I will just talk
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about burnout generally, but if I use references to the workplace,
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just know in your mind that it doesn't have to
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be a workplace situation. There can be other situations in
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your life that might be causing you to experience excessive
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stress and leading to potentially burnout. When I first heard
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about Freudenberger's twelve kind of stages that people he proposed
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that people go through, it reminded me immediately of something
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that I learned when I was studying NBCT mindfulness based
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cognitive therapy, and that is this concept of the exhaustion funnel.
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And I often share with people the concept of the
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exhaustion funnel, which is a handy way to imagine how
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this whole process sort of works. So the idea is
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that if you imagine a funnel like with a very
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wide opening at the top and funneling down into a
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very narrow opening at the bottom. When you're at the
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top of the funnel, you have a lot going on
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in your life. You have friends and family and work
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and hobbies and creativity and food and self care and
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all sorts of things that you do to have a
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full and meaningful and fulfilling life. What you also have
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is when you're at the top of the funnel and
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you're feeling positive and optimistic and all of those positive emotions.
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And remember we've talked about the positive emotions and the
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effect that they have on your mood and your mental
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health and your cognitive processing. Is that you have a
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wide perception. You have a wide open perspective about options
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available to you, about what's in your life, what resources
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you have available to you, and generally, so if things
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to go wrong, there's lots of things that you can
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draw on to help yourself to get back to feeling
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good again. So, if you're having a bad day, you
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talk to a friend, or you're feeling the mistressed, you
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go to a yoga class, or you know, you take
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some time off, you sit in the sunshine, you have
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a good night's sleep, and you get back to being
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yourself again. What happens if you're in a situation where
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stress is constant and kind of unrelenting, or you find
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yourself in a very busy environment, you find yourself in
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a job that's very demanding of you. When we feel
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that pressure, what happens often is that we start to
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let go of the things that we consider to be
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non essential. I don't have time to catch up with friends,
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I don't have time to cook myself for healthy dinner.
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I'll just grab something on the run. I would love
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to go to my yoga class, and my regular fitness class.
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But I really I don't know how I'm going to
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fit that in this week. I just don't have the space.
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And it's not just I don't have the available time.
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I start to feel like I don't have the mental space.
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I don't have the mental capacity to work out how
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I'm going to do all of these things. And so
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then what happens is we start experiencing the physical effects.
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We start feeling run down, we start feeling exhausted, sleep
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starts getting interrupted, We start withdrawing socially, not relying on
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those people anymore. We sort of retreat into ourselves a little.
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And what happens is it's often the most conscientious workers
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who just work harder and longer, and who tell themselves,
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I just need to get through this period. I just
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need to get through this crisis or whatever it is,
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just until end of tax time, just until they hire
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some new staff, just until we feel that position, just
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until we get this project over the line. You know,
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it's just until, But there's never any just until, like
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it never ends, and so it continues and continues and continues.
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So we start working later into the night, start having
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sleep interrupted, thinking about work during the night, going to
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work earlier, working through lunch, and as I've also mentioned,
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when we're in that negative kind of mindset, what happens
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is our mind wraps around a problem. We create this
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tunnel vision where all we can focus on is the
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source of the stress or the pressure. So if that
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pressure and stress is coming from work, projects, work deadlines,
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then that's we've sort of become consumed by that, and
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everything else just blurs into the background. Life becomes much smaller,
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hence the exhaustion funnel getting narrower and narrower and narrower,
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until eventually we just lose all of our capacity for joy.
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You know, we feel quite isolated and disconnected from the
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people around us. Our sense of self worth, our sense
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of self efficacy is affected. We start feeling like there's
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a problem with ourselves that we're not able to manage this.
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We're not necessarily talking to other people, so we're not
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getting other people's perspective, or if we do get other
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people's perspective, we tend to dismiss it. We don't really
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hear what other people have to say because we have
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a kind of distorted perception of what's going on and
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what the problem is and what needs to be done
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to fix it. So we get ourselves into potentially a really,
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really bad, unhealthy situation where we are at risk of burnout.
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The bottom of that funnel is complete burnout. So I
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was first introduced to the exhaustion funnel. And obviously, in
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the context of mindfulness, we're talking about teaching people with
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mindfulness to be able to be more present to what's
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happening as it's happening, and to be able to choose
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a different response rather than getting swept up and before
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we're not bending ending up at the bottom of this funnel.
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So I was, in fact very intrigued to see that
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good old Herbert Freudenberger back in the seventies describe this
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twelve step process, and as I talk you through it,
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I think you will recognize there's a lot of the
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exhaustion funnel in this, so I'll run through these really quickly.
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The first step is the compulsion to prove oneself. Often
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found at the beginning is excessive ambition. So these are
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hard working, high a chiep people that desire to prove
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oneself in the workplace, and this becomes kind of compulsive.
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We get on this high achieving, high status, prove myself
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kind of treadmill, which is not an uncommon one to
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be on. Many many people are on that treadmill. We
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start working harder. So people establish very high personal expectations
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in order to prove themselves, particularly if you're trying to
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fit into an organization that maybe doesn't necessarily suit you,
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and to meet these expectations, you tend to focus solely
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on work, taking on more work than you potentially otherwise would.
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So again it's just working longer and harder. Then they
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start stage three, neglecting one's needs. Since they're devoting everything
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to work, they now have no time or energy for
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anything else friends, family, eating, sleeping. These all start seeming
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unnecessary and unimportant because they reduce the time and energy
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that can be spent on work. The next one is
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this placement of conflict, so becoming aware that what they're
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doing isn't right, but not really able to see the
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source of the problem. So this is that sort of
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disordered perception that I told you about, and this is
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when the first physical symptoms may potentially start to appear.
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So the next stage is that while falling into a
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state of denying basic physical needs, so neglecting sleep, neglecting food.
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Value systems start to change, where work becomes the number
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one focus. Work starts to consume all your energy, there's
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nothing left. The job becomes the new value system, and
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people start to become emotionally blunt. We going to denial,
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so starting to become intolerant, starting to not want to
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be social, irritable, losing humor, little, aggressive, little sarcastic, little
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don't have time for anything, in no mood to chit chat.
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You get that you've either been there yourself or you
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know somebody who is in that place. Problems are blamed
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on time pressure and all the work. It's not about
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themselves and how they're managing that. Social contact starts to
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turn into isolation. We start becoming very very withdrawn. Maybe
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by this stage we're turning to alcohol, recreational drugs, other
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unhealthy coping strategies to manage the stress that is accumulating.
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This is about when people start to feel like start
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feeling hopeless, and hopeless is a really bad sign. There
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are obvious behavioral changes. Coworkers, family and friends will know this.
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They will see this. They might even point this out.